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Updates in Surgery

, Volume 68, Issue 1, pp 71–75 | Cite as

Laparoscopic resection of transverse colon cancer at splenic flexure: technical aspects and results

  • Junji Okuda
  • Masashi Yamamoto
  • Keitaro Tanaka
  • Shinsuke Masubuchi
  • Kazuhisa Uchiyama
Original Article
Part of the following topical collections:
  1. Mini Invasive Colorectal Surgery

Abstract

Laparoscopic resection of transverse colon cancer at splenic flexure is technical demanding and its efficacy remains controversial. The aim of this study was to investigate its technical aspects such as pitfalls and overcoming them, and to demonstrate the short-term and oncologic long-term outcomes. To overcome the difficulty in laparoscopic resection of transverse colon cancer at splenic flexure, we recognized the following technical tips as essential. First of all, we have to precisely identify major vessels variations feeding tumor. Secondary, anatomical dissection of mesocolon through medial approach is indispensible. Third, safe takedown of splenic flexure to fully mobilization of left hemicolon is mandatory. This cohort study analyzed 95 patients with stage II (43) and III (52) underwent resection of transverse colon cancer at splenic flexure. 61 laparoscopic surgeries (LAC) and 34 conventional open surgeries (OC) from December 1996 to December 2009 were evaluated. Short-term and oncologic long-term outcomes were recorded. Operative time was longer in LAC. However, blood loss was less, recovery of bowel function and hospital stay were shorter in LAC. There was no conversion in LAC and no significant difference in the postoperative complications. Regarding oncologic long-term outcomes, there were no significant differences between OC and LAC. Laparoscopic resection of transverse colon cancer at splenic flexure resulted in acceptable short-term and oncologic long-term outcomes. Once technical tips acquired, laparoscopic resection of transverse colon cancer at splenic flexure could be feasible as minimally invasive surgery.

Keywords

Laparoscopic resection Transverse colon cancer Splenic flexure 

Notes

Compliance with ethical standards

Conflict of interest

The Authors declare that they have no conflict of interest.

Research involving human participants and/or animals

This articles does not contain any studies with human participants or animal performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

References

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Copyright information

© Italian Society of Surgery (SIC) 2016

Authors and Affiliations

  • Junji Okuda
    • 1
  • Masashi Yamamoto
    • 1
  • Keitaro Tanaka
    • 1
  • Shinsuke Masubuchi
    • 1
  • Kazuhisa Uchiyama
    • 1
  1. 1.Department of General and Gastroenterological Surgery, Cancer CenterOsaka Medical CollegeOsakaJapan

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